Abdominal MRI (without contrast) at WellSpan Ephrata Community Hospital
169 Martin Ave, Ephrata, PA · Wellspan · · NPI 1083615587
$457.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$2,225.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$235.78 with Highmark_Medicare vs $1,624.00 with First_Health_Network — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Highmark_Medicare | All_Plans | $235.78 | ↓ -48% |
| Aetna_Advantra_Medicare | All_Plans | $240.45 | ↓ -47% |
| Aetna_Medicare | All_Plans | $240.45 | ↓ -47% |
| Geisinger_Gold_Medicare | All_Plans | $245.12 | ↓ -46% |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $245.12 | ↓ -46% |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $245.12 | ↓ -46% |
| Devoted_Medicare | All_Plans | $245.12 | ↓ -46% |
| United_Medicare | ISNP_DSNP_Plans | $245.12 | ↓ -46% |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $246.17 | ↓ -46% |
| Amerihealth_Medicare | All_Plans | $246.29 | ↓ -46% |
| Jefferson_Health_Medicare_Advantage | All_Plans | $252.13 | ↓ -45% |
| PA_Health_&_Wellness_Medicare | All_Plans | $252.13 | ↓ -45% |
| UPMC_Medicaid | All_Plans | $336.25 | ↓ -26% |
| Highmark | Higmark_Healthy_Kids | $362.43 | ↓ -21% |
| Health_Partners_Medicaid | Kidz_Partners | $385.19 | ↓ -16% |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $391.60 | ↓ -14% |
| United_Medicaid | Community_Plan_For_Kids | $408.54 | ↓ -11% |
| Health_Partners_Medicaid | All_Other_Plans | $420.26 | ↓ -8% |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $420.26 | ↓ -8% |
| PA_Health_&_Wellness_Medicaid | All_Plans | $420.26 | ↓ -8% |
| Geisinger_Medicaid | All_Plans | $420.26 | ↓ -8% |
| WellSpan_Capital_Blue_Cross | All_Plans | $468.00 | ↑ +2% |
| Blue_Cross | Capital_Blue_Performance_PPO | $468.00 | ↑ +2% |
| Amerihealth_Caritas_Medicaid | All_Plans | $477.42 | ↑ +4% |
| Highmark | My_Direct_Blue | $856.43 | ↑ +87% |
| Highmark | My_Priority_Blue_Flex | $856.43 | ↑ +87% |
| Highmark | Performance_Blue | $888.53 | ↑ +94% |
| Highmark | Choice_Blue_PPO | $888.53 | ↑ +94% |
| Highmark | Blue_Cross_High_Performance_Network | $888.53 | ↑ +94% |
| Blue_Cross | Capital_Cares_4_kids | $1,002.72 | ↑ +119% |
| Highmark | All_Other_Plans | $1,070.53 | ↑ +134% |
| Aetna_Better_Health_Kids | All_Plans | $1,143.11 | ↑ +150% |
| Cigna | All_Plans | $1,201.50 | ↑ +163% |
| United_Healthcare | All_Plans | $1,342.45 | ↑ +194% |
| Blue_Cross | All_Other_Plans | $1,432.46 | ↑ +213% |
| Tower Health | All_Plans | $1,446.25 | ↑ +216% |
| UPMC | UPMC_For_Kids | $1,446.25 | ↑ +216% |
| UPMC | Employees_And_Dependents | $1,446.25 | ↑ +216% |
| Independence_Blue_Cross | All_Plans | $1,446.25 | ↑ +216% |
| Geisinger | All_Plans | $1,446.25 | ↑ +216% |
| Aetna | All_Plans | $1,477.00 | ↑ +223% |
| PHC | All_Plans | $1,557.50 | ↑ +241% |
| First_Health_Network | All_Plans | $1,624.00 | ↑ +255% |
Visitor-reported prices
Comments
Abdominal MRI (without contrast) at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Altoona | Altoona | $1,699.20 | $269.00 – $2,265.60 |
| UPMC Bedford | Everett | $1,705.20 | $83.15 – $2,557.80 |
| UPMC Carlisle | Carlisle | $1,656.00 | $228.92 – $2,346.00 |
| UPMC Cole | Coudersport | $1,335.60 | $240.06 – $1,780.80 |
| UPMC Community Osteopathic | Harrisburg | $1,656.00 | $88.80 – $1,826.61 |
| UPMC East | Monroeville | $3,940.80 | $231.07 – $5,254.40 |
| UPMC Hamot | Erie | $2,404.80 | $180.32 – $1,249.75 |
| UPMC Northwest | Seneca | $2,205.00 | $209.00 – $1,158.68 |